# SEA ISLAND PEDIATRICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295852085
- **Authorized official:** DR. KAREN L. KEANE DO (PRESIDENT)
- **Authorized official phone:** (843) 524-1078

## Contact information

- **Practice address:** 2403 ALLISON RD, BEAUFORT, SC 29902-5923
- **Practice address phone:** (843) 524-1078
- **Mailing address:** 2403 ALLISON RD, BEAUFORT, SC 29902-5923
- **Mailing address phone:** (843) 524-1078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 00223 | SC | Yes |

## Other

- **Enumeration date:** 03/25/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP3011 | — | SC |